Clinical Skills in Treating the Foot

Linda M. Merriman, Warren Turner

Description

The eagerly awaited new edition of Clinical Skills in Treating the Foot has been revised and updated with the needs of a broad range of health professionals in mind. For anyone treating patients with foot disorders, Clinical Skills in Treating the Foot will provide invaluable support through three key areas: Section 1 is concerned with the general principles of managing foot disorders and the context in which treatment of the foot takes place. Included are chapters on treatment planning, evidence based practice, governance and audit, clinical protocols, clinical emergencies and health promotion. Section 2 examines the application of clinical therapeutics to foot disease and includes chapters on operative techniques, surgery and the foot, pharmacology, physical therapy, mechanical therapeutics, chairside devices, prescription devices and footwear therapy. Section 3 considers the particular needs of special groups and includes chapters on the adult foot, the child's foot, sports injuries and management of tissue viability. With its clarity of text and liberal use of case studies and illustrations, the latest edition of Clinical Skills will be required reading for practising and student podiatrists. It will also be a valuable reference and guide for all others involved in the provision of treatment of the foot. This book has been written as a companion volume to the editors' Assessment of the Lower Limb, also published by Elsevier Churchill Livingstone.

• Written by an experienced team of clinicians who also understand the needs of students as well as practitioners
• Logical and clear structure makes it easy to use for both clinicians and students
• Each chapter is self-contained and can be used for independent reading topics
• Case histories and clinical comment sections illustrate important clinical points
• Key points and summaries provides assistance for learning and review
• Features approximately 400 illustrations

Half of the contributors are new - more experienced clinicians than those used for the previous edition

New chapter by new author on Clinical Governance (replacing old chapter of Audit and Outcome Measurement)

Major revision by new authors of chapter on Treatment Planning to reflect new developments and changes in pracice

Completely rewritten chapter by new authors on Clinical protocols

Major revision by new author of the chapter on Foot health education and promotion

Major rewrite with new author of the chapter on Pharmacology which will have expanded sections on topical and injected steroids and prescription medicines.

Major revision by new authors of the chapter on Physical therapy

New section on chairside devices in the chapter on Mechanical therapeutics in the clinic (new authors involved)

Chapter on Prescription orthoses now replaced with new chapter by new authors on Prescription devices..

Major rewrite by new author of the chapter on sports injuries

New chapter on Managing tissue viability repaces the old chapter on the Management of foot ulcers and now incorporates the material previously covered in old appendices 1 and 2 on Management of exudation in ulcers and Footcare advice for people with diabetes.

Sujets

• Medical
• Médecine
• Podiatry

Informations

• Publié par: Churchill Livingstone
• Date de parution: 17 août 2005
• Nombre de lectures: 0
• EAN13: 9780702036330
• Langue: English
• Poids de l'ouvrage: 23 Mo

Extrait

Clinical Skills in Treating the Foot

SECOND EDITION

Warren A. Turner, PhD BSc DpodM MChS

Assistant Director, School of Education, Health and Sciences, University of Derby, UK

Linda M. Merriman, PhD MPhil DPodM MChS CertEd

Dean, School of Health and Social Sciences, Coventry University, UK

Table of Contents

Cover image

Title page

Copyright

Contributors

Preface

Acknowledgements

Section 1: Essential principles of management

Chapter 1: Treatment planning

INTRODUCTION

WHO NEEDS TREATMENT FOR DISORDERS OF THE FOOT?

WHAT IS ‘TREATMENT’?

THE TREATMENT PLANNING PROCESS

THE MULTIDISCIPLINARY TEAM APPROACH

WHY DO TREATMENT PLANS FAIL?

SUMMARY

Chapter 2: Evidence-based practice and clinical governance

INTRODUCTION

DOING THE RIGHT THING

HISTORICAL PERSPECTIVE

THE PURPOSE OF CLINICAL AUDIT

ANALYSING THE EFFECTS OF TREATMENT

EFFECTS OF MEASUREMENT ON TREATMENT POLICY FOR THE FUTURE

SUMMARY

Chapter 3: Clinical protocols

INTRODUCTION

WHAT INFLUENCES HOW A PRACTITIONER PRACTISES?

CLINICAL PROTOCOLS

SUMMARY

Chapter 4: Clinical emergencies

INTRODUCTION

THE NATURE OF MEDICAL EMERGENCIES

CARDIOVASCULAR EMERGENCIES

RESPIRATORY EMERGENCIES

NEUROLOGICAL EMERGENCIES

METABOLIC CRISES

SOME SUBACUTE EMERGENCIES

WHAT TO DO IF A PATIENT SUDDENLY LOSES CONSCIOUSNESS

SUMMARY

Chapter 5: Health and health promotion

INTRODUCTION

UNDERSTANDING HEALTH

FROM HEALTH EDUCATION TO HEALTH PROMOTION

MAPPING APPROACHES TO HEALTH PROMOTION

PODIATRY AND HEALTH PROMOTION

SUMMARY

Section 2: Methods of managing foot conditions

Chapter 6: Operative techniques

INTRODUCTION

OPERATIVE TREATMENT

SUPERFICIAL TECHNIQUES USED ON SKIN

DEBRIDEMENT AND ENUCLEATION

LANCING AND DRAINAGE

TECHNIQUES USED ON NAILS

NAIL CARE

NAIL DRILL

NAIL SURGERY

NAIL ABLATION

MANAGEMENT FOLLOWING NAIL SURGERY

INCISIONAL APPROACHES TO SURGERY

SUMMARY

Chapter 7: Surgery and the foot

INTRODUCTION

SELECTING PATIENTS FOR SURGERY

PRINCIPLES OF FOOT SURGERY

SEQUELAE ASSOCIATED WITH FOOT SURGERY

TOURNIQUET USE AND EFFECTS

ANAESTHETIC TECHNIQUES FOR FOOT SURGERY

SUMMARY

Chapter 8: Pharmacology

INTRODUCTION

TERMINOLOGY

MODE OF ADMINISTRATION

THERAPEUTIC DRUG GROUPS USED IN THE MANAGEMENT OF FOOT PROBLEMS

ANALGESICS

ANHIDROTICS

ANTI-INFLAMMATORY DRUGS

ANTIMICROBIAL DRUGS

ANTIPURITICS

CAUSTICS

COUNTER-IRRITANTS

EMOLLIENTS

PREMEDICATION PRIOR TO SURGERY

SUMMARY

Chapter 9: Physical therapy

INTRODUCTION

COLD AND HEAT

CRYOTHERAPY

HEAT THERAPY

ULTRASOUND

RADIOFREQUENCY HEATING

HYDROTHERAPY

MISCELLANEOUS APPLICATIONS

MUSCLE STIMULATION

TRANSCUTANEOUS NERVE STIMULATORS

MANUAL THERAPY

LASERS

SUMMARY

Chapter 10: An introduction to mechanical therapeutics

INTRODUCTION

PRINCIPLES OF ORTHOTIC MANAGEMENT

MECHANICAL PRINCIPLES

MATERIAL PROPERTIES

SUMMARY

Chapter 11: Mechanical therapeutics in the clinic

INTRODUCTION

DRESSINGS AND BANDAGES

CLINICAL PADDED DRESSINGS

LIMITING FOOT AND ANKLE MOVEMENT

REPLACEABLE ORTHOSES

SILICONES AND MOULDED THERMOPLASTIC ORTHOSES

SUMMARY

Chapter 12: Prescription orthoses

INTRODUCTION

DIGITAL ORTHOSES

FOOT ORTHOSES

INSOLES

CASTED ORTHOSES

PRESCRIBING CASTED ORTHOSES

ANKLE FOOT ORTHOSES

AFO designs

SUMMARY

Chapter 13: Footwear therapy

INTRODUCTION

ADVICE ON THE PURCHASE OF FOOTWEAR

TYPES OF FOOTWEAR

ADVICE TO PATIENTS

PRESCRIPTION OF BESPOKE FOOTWEAR

FOOTWEAR ADAPTATIONS

SUMMARY

Section 3: Managing specific client groups

Chapter14:Theadultfoot

Chapter14:Theadultfoot

INTRODUCTION

TREATING THE ADULT PATIENT

ARTICULAR AND BONE CONDITIONS

ARTHRITIS

FRACTURES

NEOPLASIA OF BONE

DEFORMITY

LESSER TOES

HALLUX DEFORMITY

FOREFOOT DEFORMITY

HINDFOOT DEFORMITY

DEFORMITIES ASSOCIATED WITH ARCH SHAPE

CORNS AND CALLUS

SOFT TISSUE PAIN

HEEL PAIN SYNDROMES

TENDINITIS AND BURSITIS

NEOPLASIA

NEUROLOGICAL PAIN

MISCELLANEOUS PAIN

PAIN FROM COMMON ACCESSORY OSSICLES

INFECTION

SKIN DISORDERS

SUMMARY

Chapter 15: The child’s foot

INTRODUCTION

COMMON FOOT PATHOLOGIES

METATARSUS ADDUCTUS

TALIPES EQUINOVARUS

ARCH HEIGHT

HALLUX VALGUS

LESSER DIGITAL DEFORMITY

PAIN IN THE LOWER LIMB

FOOT PAIN

LEG AND KNEE PAIN

GAIT PROBLEMS

IN-TOEING

OUT-TOEING

SUMMARY

Chapter 16: Management of the sports patient

INTRODUCTION

GUIDING PRINCIPLES

COMMON TREATMENT OPTIONS

INJURIES TO THE SKIN AND NAILS

BURSITIS

TENDONOPATHIES

MUSCLE AND FASCIAL INJURIES

LIGAMENT INJURIES

ARTICULAR INJURIES

INJURIES TO BONE

NERVE INJURIES

VASCULAR INJURIES

SUMMARY

Chapter 17: Management of tissue viability

INTRODUCTION

TREATMENT OF ACUTE, UNCOMPLICATED WOUNDS

HISTORICAL APPROACHES TO CHRONIC WOUND AND INFECTION MANAGEMENT

PRINCIPLES OF MANAGEMENT IN TISSUE VIABILITY

PRACTICAL ISSUES IN TISSUE VIABILITY MANAGEMENT

THE SKIN AS AN INDICATOR OF TISSUE VIABILITY

TREATMENT APPROACHES IN TISSUE VIABILITY

PREVENTING RECURRENCE

TREATING ULCERATION IN THE FOOT

SUMMARY

Appendices

Appendix 1: Management of exudation in ulcers

Appendix 2: Foot care advice for people with diabetes

Appendix 3: Using crutches

Index